05D2110324 CLIA NUMBER - JOANN NGUYEN, MD, INC

Laboratory Demographics

  • CLIA Code: 05D2110324
  • Facility Name: JOANN NGUYEN, MD, INC
  • Facility Address: 1255 E SANTA CLARA ST
    SAN JOSE, CA
    ZIP 95116
  • Facility Phone: 408 294-2868
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOANN NGUYEN, MD
  • NPI Number: 1205177854
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2110324
LAB Type Physician Office
Facility Name JOANN NGUYEN, MD, INC
Street 1255 E SANTA CLARA ST
City SAN JOSE
State CA
ZIP 95116
Phone 408 294-2868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2023
Certificate Expiration Date 7/8/2025
Facility Type Physician Office
Lab Director JOANN NGUYEN, MD

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This page was last updated on: 3/20/2025